Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NHTSA Form 2057 Impaired Winter Holiday High-Visibility Enforcement Campaign Tracking Study Questionnaire	Form and Instruction	New	Repair queued
Form NHTSA Form 2051 2026 Distracted Driving Concepts Testing Discussion Guide (Spanish)	Form and Instruction	New	Repair queued
Form NHTSA Form 2051 2026 Distracted Driving Concepts Testing Discussion Gudie (English)	Form and Instruction	New	Repair queued
Form NHTSA Form 2052 2026 Distracted Driving Concepts Testing Screener (Spanish)	Form and Instruction	New	Repair queued
Form NHTSA Form 2053 2026 Distracted Driving Concepts Testing Screener (English)	Form and Instruction	New	Repair queued
Form NHTSA Form 2056 Drug-Impaired Driving Prevention Concepts Testing Moderators Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 2055 Drug-Impaired Driving Prevention Concepts Testing Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2040 Rural Impaired Exploratory Research Discussion Guide (Spanish)	Form and Instruction	New	Repair queued
Form NHTSA Form 2037 Rural Impaired Exploratory Discussion Guide (English)	Form and Instruction	New	Repair queued
Form NHTSA Form 2039 Rural Impaired Exploratory Research Spanish Screener (translated)	Form and Instruction	New	Repair queued
Form NHTSA Form 2039 Rural Impaired Exploratory Research Spanish Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2038 Rural Impaired Exploratory Research English Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2050 CIOT Concept Testing Spanish Language Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 2030 CIOT Concept Testing General Market Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 2031 CIOT Concept Testing Spanish Language Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2029 CIOT Concept Testing General Market Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2041 ADAS Concept Testing Spanish Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 2034 ADAS Concept Testing General Market Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 2033 ADAS Concept Testing Spanish Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2032 ADAS Concept Testing General Market Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2024 Speed Prevention Concept Assessment Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 2025 Speed Prevention Concept Assessment Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2023 Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups Moderators Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 2022 Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 2017 NHTSA Buzzed Hispanic Comm Checks Moderators Guide (SPA)	Form and Instruction	New	Repair queued
Form NHTSA Form 2017 NHTSA Hispanic Comm Checks Moderators Guide ENG	Form and Instruction	New	Repair queued
Form NHTSA Form 2016 NHTSA Hispanic Comm Checks Screener (SPA)	Form and Instruction	New	Repair queued
Form NHTSA Form 2016 NHTSA Buzzed Hispanic Comm Checks Screener (ENG)	Form and Instruction	New	Repair queued
Form NHTSA Form 2014 Parents and Teens Driving Safety Concept Testing Research - Discussion Guide (Spanish)	Form	New	Repair queued
Form NHTSA Form 2012 Parents and Teens Driving Safety Concept Testing Research - Discussion Guide (English)	Form	New	Repair queued
Form NHTSA Form 2015 Parents and Teens Driving Concept Testing Research - Spanish and Bilingual Market Screener (Spanish)	Form	New	Repair queued
Form NHTSA Form 2013 Parents and Teens Driving Safety Concept Testing Research - Spanish and Bilingual Market Screener (English)	Form	New	Repair queued
Form NHTSA Form 2011 Parents and Teens Driving Safety Concept Testing Research - General Market Screener	Form	New	Repair queued
Form NHTSA Form 1820 Air Bag Recall Creative Concepts Testing Spanish Screener (Translation)	Form	New	Repair queued
Form NHTSA Form 1821 Air Bag Recall Creative Concepts Testing - Translated (Spanish)	Form and Instruction	New	Repair queued
Form NHTSA Form 1820 Air Bag Recall Creative Concepts Testing - Spanish Screener	Form	New	Repair queued
Form NHTSA Form 1819 Air Bag Recall Creative Concepts Testing - General Market Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1818 Air Bag Recall Creative Concepts Testing - General Market Screener	Form	New	Repair queued
Form NHTSA Form 1801 NHTSA Buzzed Tagline Research Phase 1 Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1800 NHTSA Buzzed Tagline Research Phase 1 Research Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 1798 Recruitment Screener for Child Car Safety PSA Campaign	Form and Instruction	New	Repair queued
Form NHTSA Form 1797 Moderator's Guide Child Car Safety PSA Focus Groups	Form and Instruction	New	Repair queued
Form NHTSA Form 1767 Vehicle Recalls Exploratory Research Online Focus Groups Discussion Guide (in Spanish)	Form and Instruction	New	Repair queued
Form NHTSA Form 1767 NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1766 NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Spanish Screener (ENG Version)	Form and Instruction	New	Repair queued
Form NHTSA Form 1766 NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Spanish Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 1765 NHTSA Vehicle Recalls General Market Screener	Form and Instruction	New	Repair queued
Form 1761 NHTSA Form 1761	Form and Instruction	New	Repair queued
Form NHTSA Form 1759 Parents and Teens Driving Safety Mindset Research - Discussion Guide	Form	New	Repair queued
Form NHTSA Form 1760 Parents and Teens Driving Safety Mindset Research - Spanish and Bilingual Market Screener	Form	New	Repair queued
Form NHTSA Form 1758 Parents and Teens Driving Safety Mindset Research - General Market Screener	Form	New	Repair queued
Form NHTSA Form 1757 Motorcycle Impaired Riding Campaign Concepts Testing Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1756 Motorcycle Impaired Riding Concepts Testing Screener	Form and Instruction	New	Repair queued
Form NHTSA FORM 1755 Rural CIOT Concept Testing Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA FORM 1754 Rural CIOT Concept Testing Research Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 1752 Child Heatstroke Car Safety – Video Questionnaire	Form	New	Repair queued
Form NHTSA Form 1751 Child Heatstroke Car Safety Screening Questionnaire	Form and Instruction	New	Repair queued
Form NHTSA Form 1750 Child Heatstroke Car Safety – Online Questionnaire	Form	New	Repair queued
Form 1702 NHTSA Regional Operations External Webinar Evaluation	Form and Instruction	New	Repair queued
Form NHTSA Form 1736 Distracted Driving Logo and Tagline Research Spanish Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1738 Distracted Driving Logo and Tagline Reseach Spanish Screener	Form	New	Repair queued
Form NHTSA Form 1735 Distracted Driving Logo and Tagline Research English Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1737 Distracted Driving Logo and Tagline Research English Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 1729 Buzzed Driving Prevention Creative Testing Moderators Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1728 Buzzed Driving Prevention Creative Testing Screener	Form and Instruction	New	Repair queued
Form NHTSA Form 1726 Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups Spanish Language Audience	Form	New	Repair queued
Form NHTSA Form 1724 Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups General Market Audience	Form	New	Repair queued
Form NHTSA Form 1727 Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (Spanish)	Form	New	Repair queued
Form NHTSA Form 1725 Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (English)	Form	New	Repair queued
Form NHTSA Form 1722 Online Survey Questionnaire Tween Public Service Advertising Campaign	Form	New	Repair queued
Form NHTSA Form 1723 Online Survey Questionnaire Child Passenger Safety Public Service Advertising Campaign	Form	New	Repair queued
Form NHTSA Form 1717 Distracted Driving PSA Campaign Tracking Study	Form and Instruction	New	Repair queued
Form NHTSA Form 1715 Drive Sober Campaign Creative Concept Testing Spanish Discussion Guide (Translated to English)	Form	New	Repair queued
Form NHTSA Form 1715 Drive Sober Campaign Creative Concept Testing Spanish Discussion Guide	Form	New	Repair queued
Form NHTSA Form 1714 Drive Sober Campaign Creative Testing Spanish Screener (Translated to English)	Form	New	Repair queued
Form NHTSA Form 1714 Drive Sober Campaign Creative Testing Spanish Screener	Form	New	Repair queued
Form NHTSA Form 1713 Drive Sober Campaign Creative Testing Discussion Guide	Form	New	Repair queued
Form NHTSA Form 1712 Drive Sober Creative Concept Testing English Screener	Form	New	Repair queued
Form NHTSA Form 1590 Child Car Safety Recruitment Screener for Online Focus Groups and In-Depth Interviews	Form	New	Repair queued
Form NHTSA Form 1590 Child Car Safety Recruitment Screener for Online Focus Groups and In-Depth Interviews Spanish	Form	New	Repair queued
Form NHTSA Form 1591 Child Car Safety Moderator’s Discussion Guide (Spanish)	Form	New	Repair queued
Form NHTSA Form 1591 Child Car Safety Moderator’s Discussion Guide English	Form	New	Repair queued
Form NHTSA Form 1700 Online Survey Questionnaire Drug-Impaired Driving Prevention	Form and Instruction	New	Repair queued
Form NHTSA Form 1698 Routine Custo9mer Response Survey (Buzzed Driving)	Form	New	Repair queued
Form NHTSA Form 1709 Buzzed Driving Creative Concepts Testing Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1708 Buzzed Driving Creative Concepts Testing Screener	Form	New	Repair queued
Form NHTSA Form 1706 Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1705 Recruiting Screener	Form	New	Repair queued
Form NHTSA Form 1702 Occupant Protection Virtual Training	Form	New	Repair queued
Form NHTSA Form 1591 Moderators Guide - One-on One Interviews	Form and Instruction	New	Repair queued
Form NHTSA Form 1590 Recruitment Screener for One-on-one Interviews	Form	New	Repair queued
Form NHTSA Form 1695 NHTSA CIOT Concept Testing Research - Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1694 NHTSA CIOT Concept Testing Research - Screener	Form	New	Repair queued
Form NHTSA Form 1691 Recruitment Screener	Form	New	Repair queued
Form NHTSA Form 1692 Spanish Screener	Form	New	Repair queued
Form NHTSA Form 1693 Discussion Guide	Form and Instruction	New	Repair queued
Form NHTSA Form 1679 Spanish Discussion Guide Driver	Form	New	Repair queued
Form NHTSA Form 1678 Spanish Screener Distracted Driver	Form	New	Repair queued
Form NHTSA Form 1677 English Discussion Guide Distracted Driver	Form	New	Repair queued
Form NHTSA Form 1676 English Screener Distracted Driver	Form	New	Repair queued
Form NHTSA Form 1673 Marijuana Impairment Concept Testing Research - Discussion Guide Spanish	Form	New	Available
Form NHTSA Form 1672 Marijuana Impairment Concept Testing Research - Discussion Guide	Form	New	Available
Form NHTSA Form 1671 Marijuana Impairment Concept Testing Research - Spanish Screener	Form	New	Available
Form NHTSA Form 1670 Marijuana Impairment Concept Testing Research - English Screener	Form	New	Available
Form NHTSA Form 1336 Buzzed Exploratory 2022 Discussion Guide General Market	Form	New	Available
Form NHTSA Form 1335 Buzzed Exploratory 2022 Screener General Market	Form	New	Repair queued
Form NHTSA Form 1668 Buzzed Exploratory 2022 Screener Latino	Form	New	Available
Form NHTSA Form 1669 Buzzed Exploratory 2022 Discussion Guide Latino	Form	New	Available
30-day FRN 2022-09541.pdf	Supplementary Document	Uploaded 2022-05-05	Repair queued
60-day FRN_2022-00528.pdf	Supplementary Document	Uploaded 2022-04-01	Repair queued
PRA-2127-0682_NHTSA_Fast_Track_Generic_Clearance_SubmissionTemplate[1].doc	Supplementary Document	Uploaded 2018-04-26	Repair queued
PRA-2127-0682_NHTSA Fast Track Generic Clearance Part B_12.2021 (002).docx	Supporting Statement B	Uploaded 2022-04-01	Repair queued
PRA-2127_0682_NHTSA_Fast_Track_Generic_Clearance_Part_A_2021 (002).docx	Supporting Statement A	Uploaded 2022-05-05	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
276332	Impaired Winter Holiday High-Visibility Enforcement Campaign Tracking Study	Form and Instruction	New	Impaired Winter Holiday High-Visibility Enforcement Campaign Tracking Study Questionnaire
276087	2026 Distracted Driving Concepts Testing Online Focus Groups	Form and Instruction	New	2026 Distracted Driving Concepts Testing Discussion Guide (Spanish)
276087	2026 Distracted Driving Concepts Testing Online Focus Groups	Form and Instruction	New	2026 Distracted Driving Concepts Testing Discussion Gudie (English)
276087	2026 Distracted Driving Concepts Testing Online Focus Groups	Form and Instruction	New	2026 Distracted Driving Concepts Testing Screener (Spanish)
276087	2026 Distracted Driving Concepts Testing Online Focus Groups	Form and Instruction	New	2026 Distracted Driving Concepts Testing Screener (English)
275680	NHTSA Drug-Impaired Driving Prevention Creative Concepts Testing - Online Focus Groups	Form and Instruction	New	Drug-Impaired Driving Prevention Concepts Testing Moderators Guide
275680	NHTSA Drug-Impaired Driving Prevention Creative Concepts Testing - Online Focus Groups	Form and Instruction	New	Drug-Impaired Driving Prevention Concepts Testing Screener
275538	Rural Alcohol-Impaired Exploratory Research - Focus Groups	Form and Instruction	New	Rural Impaired Exploratory Research Discussion Guide (Spanish)
275538	Rural Alcohol-Impaired Exploratory Research - Focus Groups	Form and Instruction	New	Rural Impaired Exploratory Discussion Guide (English)
275538	Rural Alcohol-Impaired Exploratory Research - Focus Groups	Form and Instruction	New	Rural Impaired Exploratory Research Spanish Screener (translated)
275538	Rural Alcohol-Impaired Exploratory Research - Focus Groups	Form and Instruction	New	Rural Impaired Exploratory Research Spanish Screener
275538	Rural Alcohol-Impaired Exploratory Research - Focus Groups	Form and Instruction	New	Rural Impaired Exploratory Research English Screener
275036	CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	CIOT Concept Testing Spanish Language Discussion Guide
275036	CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	CIOT Concept Testing General Market Discussion Guide
275036	CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	CIOT Concept Testing Spanish Language Screener
275036	CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	CIOT Concept Testing General Market Screener
274392	NHTSA ADAS CONSUMER EDUCATION CONCEPT TESTING ONLINE FOCUS GROUPS	Form and Instruction	New	ADAS Concept Testing Spanish Discussion Guide
274392	NHTSA ADAS CONSUMER EDUCATION CONCEPT TESTING ONLINE FOCUS GROUPS	Form and Instruction	New	ADAS Concept Testing General Market Discussion Guide
274392	NHTSA ADAS CONSUMER EDUCATION CONCEPT TESTING ONLINE FOCUS GROUPS	Form and Instruction	New	ADAS Concept Testing Spanish Screener
274392	NHTSA ADAS CONSUMER EDUCATION CONCEPT TESTING ONLINE FOCUS GROUPS	Form and Instruction	New	ADAS Concept Testing General Market Screener
272872	SPEED PREVENTION CREATIVE CONCEPTS RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	Speed Prevention Concept Assessment Discussion Guide
272872	SPEED PREVENTION CREATIVE CONCEPTS RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	Speed Prevention Concept Assessment Screener
272240	Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups	Form and Instruction	New	Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups Moderators Guide
272240	Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups	Form and Instruction	New	Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups Screener
271981	Focus Groups to Test Creative Concepts for Buzzed Driving PSA Campaign	Form and Instruction	New	NHTSA Buzzed Hispanic Comm Checks Moderators Guide (SPA)
271981	Focus Groups to Test Creative Concepts for Buzzed Driving PSA Campaign	Form and Instruction	New	NHTSA Hispanic Comm Checks Moderators Guide ENG
271981	Focus Groups to Test Creative Concepts for Buzzed Driving PSA Campaign	Form and Instruction	New	NHTSA Hispanic Comm Checks Screener (SPA)
271981	Focus Groups to Test Creative Concepts for Buzzed Driving PSA Campaign	Form and Instruction	New	NHTSA Buzzed Hispanic Comm Checks Screener (ENG)
271625	Parents and Teens Driving Safety Concept Testing Research	Form	New	Parents and Teens Driving Safety Concept Testing Research - Discussion Guide (Spanish)
271625	Parents and Teens Driving Safety Concept Testing Research	Form	New	Parents and Teens Driving Safety Concept Testing Research - Discussion Guide (English)
271625	Parents and Teens Driving Safety Concept Testing Research	Form	New	Parents and Teens Driving Concept Testing Research - Spanish and Bilingual Market Screener (Spanish)
271625	Parents and Teens Driving Safety Concept Testing Research	Form	New	Parents and Teens Driving Safety Concept Testing Research - Spanish and Bilingual Market Screener (English)
271625	Parents and Teens Driving Safety Concept Testing Research	Form	New	Parents and Teens Driving Safety Concept Testing Research - General Market Screener
269423	Air Bag Recall Creative Concepts Testing Online Focus Groups	Form	New	Air Bag Recall Creative Concepts Testing Spanish Screener (Translation)
269423	Air Bag Recall Creative Concepts Testing Online Focus Groups	Form and Instruction	New	Air Bag Recall Creative Concepts Testing - Translated (Spanish)
269423	Air Bag Recall Creative Concepts Testing Online Focus Groups	Form	New	Air Bag Recall Creative Concepts Testing - Spanish Screener
269423	Air Bag Recall Creative Concepts Testing Online Focus Groups	Form and Instruction	New	Air Bag Recall Creative Concepts Testing - General Market Discussion Guide
269423	Air Bag Recall Creative Concepts Testing Online Focus Groups	Form	New	Air Bag Recall Creative Concepts Testing - General Market Screener
266880	NHTSA Buzzed Tagline Phase 1 Research - Focus Groups	Form and Instruction	New	NHTSA Buzzed Tagline Research Phase 1 Discussion Guide
266880	NHTSA Buzzed Tagline Phase 1 Research - Focus Groups	Form and Instruction	New	NHTSA Buzzed Tagline Research Phase 1 Research Screener
265943	Fast Track Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing: Child Car Safety PSA Campaign	Form and Instruction	New	Recruitment Screener for Child Car Safety PSA Campaign
265943	Fast Track Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing: Child Car Safety PSA Campaign	Form and Instruction	New	Moderator's Guide Child Car Safety PSA Focus Groups
265914	NHTSA Vehicle Safety Recalls Exploratory - Online Focus Groups	Form and Instruction	New	Vehicle Recalls Exploratory Research Online Focus Groups Discussion Guide (in Spanish)
265914	NHTSA Vehicle Safety Recalls Exploratory - Online Focus Groups	Form and Instruction	New	NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Discussion Guide
265914	NHTSA Vehicle Safety Recalls Exploratory - Online Focus Groups	Form and Instruction	New	NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Spanish Screener (ENG Version)
265914	NHTSA Vehicle Safety Recalls Exploratory - Online Focus Groups	Form and Instruction	New	NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Spanish Screener
265914	NHTSA Vehicle Safety Recalls Exploratory - Online Focus Groups	Form and Instruction	New	NHTSA Vehicle Recalls General Market Screener
265094	Pediatric Heatstroke Prevention Tracking Survey	Form and Instruction	New	NHTSA Form 1761
265003	Parents and Teens Driving Safety Mindset Research	Form	New	Parents and Teens Driving Safety Mindset Research - Discussion Guide
265003	Parents and Teens Driving Safety Mindset Research	Form	New	Parents and Teens Driving Safety Mindset Research - Spanish and Bilingual Market Screener
265003	Parents and Teens Driving Safety Mindset Research	Form	New	Parents and Teens Driving Safety Mindset Research - General Market Screener
264407	Motorcycle Impaired Riding Campaign Concepts Testing - Focus Groups	Form and Instruction	New	Motorcycle Impaired Riding Campaign Concepts Testing Discussion Guide
264407	Motorcycle Impaired Riding Campaign Concepts Testing - Focus Groups	Form and Instruction	New	Motorcycle Impaired Riding Concepts Testing Screener
263640	CLICK IT OR TICKET RURAL CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	Rural CIOT Concept Testing Discussion Guide
263640	CLICK IT OR TICKET RURAL CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	Rural CIOT Concept Testing Research Screener
263500	Qualitative Feedback on Pediatric Vehicular Heatstroke	Form	New	Child Heatstroke Car Safety – Video Questionnaire
263500	Qualitative Feedback on Pediatric Vehicular Heatstroke	Form and Instruction	New	Child Heatstroke Car Safety Screening Questionnaire
263500	Qualitative Feedback on Pediatric Vehicular Heatstroke	Form	New	Child Heatstroke Car Safety – Online Questionnaire
263146	NHTSA Regional Operations External Webinar Evaluation	Form and Instruction	New	NHTSA Regional Operations External Webinar Evaluation
262987	Distracted Driving Logo and Tagline Research Online Focus Groups	Form and Instruction	New	Distracted Driving Logo and Tagline Research Spanish Discussion Guide
262987	Distracted Driving Logo and Tagline Research Online Focus Groups	Form	New	Distracted Driving Logo and Tagline Reseach Spanish Screener
262987	Distracted Driving Logo and Tagline Research Online Focus Groups	Form and Instruction	New	Distracted Driving Logo and Tagline Research English Discussion Guide
262987	Distracted Driving Logo and Tagline Research Online Focus Groups	Form and Instruction	New	Distracted Driving Logo and Tagline Research English Screener
262262	Buzzed Driving Prevention Concepts Testing Research - Online Focus Groups	Form and Instruction	New	Buzzed Driving Prevention Creative Testing Moderators Guide
262262	Buzzed Driving Prevention Concepts Testing Research - Online Focus Groups	Form and Instruction	New	Buzzed Driving Prevention Creative Testing Screener
261586	Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke	Form	New	Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups Spanish Language Audience
261586	Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke	Form	New	Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups General Market Audience
261586	Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke	Form	New	Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (Spanish)
261586	Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke	Form	New	Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (English)
261351	Collection of Qualitative Feedback on Agency Service Delivery on Tween Seat Belt Safety	Form	New	Online Survey Questionnaire Tween Public Service Advertising Campaign
261349	Collection of Qualitative Feedback on Agency Service Delivery on Car Seats	Form	New	Online Survey Questionnaire Child Passenger Safety Public Service Advertising Campaign
261087	Distracted Driving PSA Campaign Tracking Study	Form and Instruction	New	Distracted Driving PSA Campaign Tracking Study
260582	Drive Sober Campaign Creative Concept Testing	Form	New	Drive Sober Campaign Creative Concept Testing Spanish Discussion Guide (Translated to English)
260582	Drive Sober Campaign Creative Concept Testing	Form	New	Drive Sober Campaign Creative Concept Testing Spanish Discussion Guide
260582	Drive Sober Campaign Creative Concept Testing	Form	New	Drive Sober Campaign Creative Testing Spanish Screener (Translated to English)
260582	Drive Sober Campaign Creative Concept Testing	Form	New	Drive Sober Campaign Creative Testing Spanish Screener
260582	Drive Sober Campaign Creative Concept Testing	Form	New	Drive Sober Campaign Creative Testing Discussion Guide
260582	Drive Sober Campaign Creative Concept Testing	Form	New	Drive Sober Creative Concept Testing English Screener
260440	Qualitative Feedback on Child Car Safety	Form	New	Child Car Safety Recruitment Screener for Online Focus Groups and In-Depth Interviews
260440	Qualitative Feedback on Child Car Safety	Form	New	Child Car Safety Recruitment Screener for Online Focus Groups and In-Depth Interviews Spanish
260440	Qualitative Feedback on Child Car Safety	Form	New	Child Car Safety Moderator’s Discussion Guide (Spanish)
260440	Qualitative Feedback on Child Car Safety	Form	New	Child Car Safety Moderator’s Discussion Guide English
259837	Routine Customer Feedback - Drug-Impaired Driving Prevention	Form and Instruction	New	Online Survey Questionnaire Drug-Impaired Driving Prevention
259701	Routine Customer Feedback for Buzzed Driving PSA Campaign	Form	New	Routine Custo9mer Response Survey (Buzzed Driving)
259494	Buzzed Driving Concepts Testing Research - Online Focus Groups	Form and Instruction	New	Buzzed Driving Creative Concepts Testing Discussion Guide
259494	Buzzed Driving Concepts Testing Research - Online Focus Groups	Form	New	Buzzed Driving Creative Concepts Testing Screener
259446	DISTRACTED DRIVING SOCIAL NORMING CONCEPT TESTING RESEARCH	Form and Instruction	New	Discussion Guide
259446	DISTRACTED DRIVING SOCIAL NORMING CONCEPT TESTING RESEARCH	Form	New	Recruiting Screener
259042	Occupant Protection Virtual Meeting	Form	New	Occupant Protection Virtual Training
257964	Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke	Form and Instruction	New	Moderators Guide - One-on One Interviews
257964	Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke	Form	New	Recruitment Screener for One-on-one Interviews
257189	CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	Form and Instruction	New	NHTSA CIOT Concept Testing Research - Discussion Guide
257189	CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	Form	New	NHTSA CIOT Concept Testing Research - Screener
256671	2023 Distracted Driving Enforcement Concept Testing Research Online Focus Groups	Form	New	Recruitment Screener
256671	2023 Distracted Driving Enforcement Concept Testing Research Online Focus Groups	Form	New	Spanish Screener
256671	2023 Distracted Driving Enforcement Concept Testing Research Online Focus Groups	Form and Instruction	New	Discussion Guide
255470	DISTRACTED DRIVING ENFORCEMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	Form	New	Spanish Discussion Guide Driver
255470	DISTRACTED DRIVING ENFORCEMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	Form	New	Spanish Screener Distracted Driver
255470	DISTRACTED DRIVING ENFORCEMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	Form	New	English Discussion Guide Distracted Driver
255470	DISTRACTED DRIVING ENFORCEMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	Form	New	English Screener Distracted Driver
254995	Marijuana Impairment Concept Testing Research	Form	New	Marijuana Impairment Concept Testing Research - Discussion Guide Spanish
254995	Marijuana Impairment Concept Testing Research	Form	New	Marijuana Impairment Concept Testing Research - Discussion Guide
254995	Marijuana Impairment Concept Testing Research	Form	New	Marijuana Impairment Concept Testing Research - Spanish Screener
254995	Marijuana Impairment Concept Testing Research	Form	New	Marijuana Impairment Concept Testing Research - English Screener
254796	Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Reduce Alcohol-Impaired Driving	Form	New	Buzzed Exploratory 2022 Discussion Guide General Market
254796	Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Reduce Alcohol-Impaired Driving	Form	New	Buzzed Exploratory 2022 Screener General Market
254796	Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Reduce Alcohol-Impaired Driving	Form	New	Buzzed Exploratory 2022 Screener Latino
254796	Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Reduce Alcohol-Impaired Driving	Form	New	Buzzed Exploratory 2022 Discussion Guide Latino

ICR Details

OMB Control No: 2127-0682	ICR Reference No: 202204-2127-001
Status: Historical Active	Previous ICR Reference No: 201804-2127-006
Agency/Subagency: DOT/NHTSA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/11/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/05/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2025	36 Months From Approved
Responses	113,582	0	0
Time Burden (Hours)	20,204	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: NHTSA seeks the Office of Management and Budget’s (OMB) approval to reinstate a previously approved information collection (OMB Control Number: 2127-0682) for generic clearance for qualitative feedback on agency service delivery. This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders is achieved through voluntary surveys and will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs. Our customers and stakeholders range from individuals and households, businesses, organizations, and State and local governments. This information collection request is for a reinstatement and increases the total burden by 20,204 hours and $0. The burden hours and costs did not change from the last request for this collection

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 2235	01/13/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 26391	05/04/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 39

table that charts list of burden

IC Title	Form No.	Form Name
2023 Distracted Driving Enforcement Concept Testing Research Online Focus Groups	NHTSA Form 1693, NHTSA Form 1692, NHTSA Form 1691	Discussion Guide ,   Spanish Screener ,   Recruitment Screener
2026 Distracted Driving Concepts Testing Online Focus Groups	NHTSA Form 2051, NHTSA Form 2053, NHTSA Form 2052, NHTSA Form 2051	2026 Distracted Driving Concepts Testing Screener (English) ,   2026 Distracted Driving Concepts Testing Screener (Spanish) ,   2026 Distracted Driving Concepts Testing Discussion Gudie (English) ,   2026 Distracted Driving Concepts Testing Discussion Guide (Spanish)
Air Bag Recall Creative Concepts Testing Online Focus Groups	NHTSA Form 1820, NHTSA Form 1818, NHTSA Form 1819, NHTSA Form 1820, NHTSA Form 1821	Air Bag Recall Creative Concepts Testing - General Market Screener ,   Air Bag Recall Creative Concepts Testing - General Market Discussion Guide ,   Air Bag Recall Creative Concepts Testing - Spanish Screener ,   Air Bag Recall Creative Concepts Testing - Translated (Spanish) ,   Air Bag Recall Creative Concepts Testing Spanish Screener (Translation)
Buzzed Driving Concepts Testing Research - Online Focus Groups	NHTSA Form 1709, NHTSA Form 1708	Buzzed Driving Creative Concepts Testing Screener ,   Buzzed Driving Creative Concepts Testing Discussion Guide
Buzzed Driving Prevention Concepts Testing Research - Online Focus Groups	NHTSA Form 1728, NHTSA Form 1729	Buzzed Driving Prevention Creative Testing Screener ,   Buzzed Driving Prevention Creative Testing Moderators Guide
CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	NHTSA Form 1694, NHTSA Form 1695	NHTSA CIOT Concept Testing Research - Screener ,   NHTSA CIOT Concept Testing Research - Discussion Guide
CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	NHTSA Form 2029, NHTSA Form 2031, NHTSA Form 2030, NHTSA Form 2050	CIOT Concept Testing General Market Screener ,   CIOT Concept Testing Spanish Language Screener ,   CIOT Concept Testing General Market Discussion Guide ,   CIOT Concept Testing Spanish Language Discussion Guide
CLICK IT OR TICKET RURAL CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS	NHTSA FORM 1754, NHTSA FORM 1755	Rural CIOT Concept Testing Research Screener ,   Rural CIOT Concept Testing Discussion Guide
Collection of Qualitative Feedback on Agency Service Delivery on Car Seats	NHTSA Form 1723	Online Survey Questionnaire Child Passenger Safety Public Service Advertising Campaign
Collection of Qualitative Feedback on Agency Service Delivery on Tween Seat Belt Safety	NHTSA Form 1722	Online Survey Questionnaire Tween Public Service Advertising Campaign
Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke	NHTSA Form 1724, NHTSA Form 1727, NHTSA Form 1725, NHTSA Form 1726	Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (English) ,   Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (Spanish) ,   Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups General Market Audience ,   Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups Spanish Language Audience
DISTRACTED DRIVING ENFORCEMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS	NHTSA Form 1676, NHTSA Form 1677, NHTSA Form 1678, NHTSA Form 1679	English Screener Distracted Driver ,   English Discussion Guide Distracted Driver ,   Spanish Screener Distracted Driver ,   Spanish Discussion Guide Driver
DISTRACTED DRIVING SOCIAL NORMING CONCEPT TESTING RESEARCH	NHTSA Form 1705, NHTSA Form 1706	Recruiting Screener ,   Discussion Guide
Distracted Driving Logo and Tagline Research Online Focus Groups	NHTSA Form 1736, NHTSA Form 1737, NHTSA Form 1735, NHTSA Form 1738	Distracted Driving Logo and Tagline Research English Screener ,   Distracted Driving Logo and Tagline Research English Discussion Guide ,   Distracted Driving Logo and Tagline Reseach Spanish Screener ,   Distracted Driving Logo and Tagline Research Spanish Discussion Guide
Distracted Driving PSA Campaign Tracking Study	NHTSA Form 1717	Distracted Driving PSA Campaign Tracking Study
Drive Sober Campaign Creative Concept Testing	NHTSA Form 1713, NHTSA Form 1712, NHTSA Form 1714, NHTSA Form 1714, NHTSA Form 1715, NHTSA Form 1715	Drive Sober Creative Concept Testing English Screener ,   Drive Sober Campaign Creative Testing Discussion Guide ,   Drive Sober Campaign Creative Testing Spanish Screener ,   Drive Sober Campaign Creative Testing Spanish Screener (Translated to English) ,   Drive Sober Campaign Creative Concept Testing Spanish Discussion Guide ,   Drive Sober Campaign Creative Concept Testing Spanish Discussion Guide (Translated to English)
Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups	NHTSA Form 2023, NHTSA Form 2022	Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups Screener ,   Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups Moderators Guide
Fast Track Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing: Child Car Safety PSA Campaign	NHTSA Form 1798, NHTSA Form 1797	Moderator's Guide Child Car Safety PSA Focus Groups ,   Recruitment Screener for Child Car Safety PSA Campaign
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke	NHTSA Form 1591, NHTSA Form 1590	Recruitment Screener for One-on-one Interviews ,   Moderators Guide - One-on One Interviews
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Reduce Alcohol-Impaired Driving	NHTSA Form 1669, NHTSA Form 1668, NHTSA Form 1335, NHTSA Form 1336	Buzzed Exploratory 2022 Discussion Guide Latino ,   Buzzed Exploratory 2022 Screener Latino ,   Buzzed Exploratory 2022 Screener General Market ,   Buzzed Exploratory 2022 Discussion Guide General Market
Focus Groups to Test Creative Concepts for Buzzed Driving PSA Campaign	NHTSA Form 2016, NHTSA Form 2017, NHTSA Form 2017, NHTSA Form 2016	NHTSA Buzzed Hispanic Comm Checks Screener (ENG) ,   NHTSA Hispanic Comm Checks Screener (SPA) ,   NHTSA Hispanic Comm Checks Moderators Guide ENG ,   NHTSA Buzzed Hispanic Comm Checks Moderators Guide (SPA)
Impaired Winter Holiday High-Visibility Enforcement Campaign Tracking Study	NHTSA Form 2057	Impaired Winter Holiday High-Visibility Enforcement Campaign Tracking Study Questionnaire
Marijuana Impairment Concept Testing Research	NHTSA Form 1670, NHTSA Form 1671, NHTSA Form 1672, NHTSA Form 1673	Marijuana Impairment Concept Testing Research - English Screener ,   Marijuana Impairment Concept Testing Research - Spanish Screener ,   Marijuana Impairment Concept Testing Research - Discussion Guide ,   Marijuana Impairment Concept Testing Research - Discussion Guide Spanish
Motorcycle Impaired Riding Campaign Concepts Testing - Focus Groups	NHTSA Form 1756, NHTSA Form 1757	Motorcycle Impaired Riding Concepts Testing Screener ,   Motorcycle Impaired Riding Campaign Concepts Testing Discussion Guide
NHTSA ADAS CONSUMER EDUCATION CONCEPT TESTING ONLINE FOCUS GROUPS	NHTSA Form 2032, NHTSA Form 2033, NHTSA Form 2034, NHTSA Form 2041	ADAS Concept Testing General Market Screener ,   ADAS Concept Testing Spanish Screener ,   ADAS Concept Testing General Market Discussion Guide ,   ADAS Concept Testing Spanish Discussion Guide
NHTSA Buzzed Tagline Phase 1 Research - Focus Groups	NHTSA Form 1800, NHTSA Form 1801	NHTSA Buzzed Tagline Research Phase 1 Research Screener ,   NHTSA Buzzed Tagline Research Phase 1 Discussion Guide
NHTSA Drug-Impaired Driving Prevention Creative Concepts Testing - Online Focus Groups	NHTSA Form 2055, NHTSA Form 2056	Drug-Impaired Driving Prevention Concepts Testing Screener ,   Drug-Impaired Driving Prevention Concepts Testing Moderators Guide
NHTSA Regional Operations External Webinar Evaluation	1702	NHTSA Regional Operations External Webinar Evaluation
NHTSA Vehicle Safety Recalls Exploratory - Online Focus Groups	NHTSA Form 1765 , NHTSA Form 1766, NHTSA Form 1766, NHTSA Form 1767, NHTSA Form 1767	NHTSA Vehicle Recalls General Market Screener ,   NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Spanish Screener ,   NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Spanish Screener (ENG Version) ,   NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Discussion Guide ,   Vehicle Recalls Exploratory Research Online Focus Groups Discussion Guide (in Spanish)
Occupant Protection Virtual Meeting	NHTSA Form 1702	Occupant Protection Virtual Training
Parents and Teens Driving Safety Concept Testing Research	NHTSA Form 2013, NHTSA Form 2011, NHTSA Form 2015, NHTSA Form 2012, NHTSA Form 2014	Parents and Teens Driving Safety Concept Testing Research - General Market Screener ,   Parents and Teens Driving Safety Concept Testing Research - Spanish and Bilingual Market Screener (English) ,   Parents and Teens Driving Concept Testing Research - Spanish and Bilingual Market Screener (Spanish) ,   Parents and Teens Driving Safety Concept Testing Research - Discussion Guide (English) ,   Parents and Teens Driving Safety Concept Testing Research - Discussion Guide (Spanish)
Parents and Teens Driving Safety Mindset Research	NHTSA Form 1759, NHTSA Form 1758, NHTSA Form 1760	Parents and Teens Driving Safety Mindset Research - General Market Screener ,   Parents and Teens Driving Safety Mindset Research - Spanish and Bilingual Market Screener ,   Parents and Teens Driving Safety Mindset Research - Discussion Guide
Pediatric Heatstroke Prevention Tracking Survey	1761	NHTSA Form 1761
Qualitative Feedback on Child Car Safety	NHTSA Form 1590, NHTSA Form 1590, NHTSA Form 1591, NHTSA Form 1591	Child Car Safety Moderator’s Discussion Guide English ,   Child Car Safety Moderator’s Discussion Guide (Spanish) ,   Child Car Safety Recruitment Screener for Online Focus Groups and In-Depth Interviews Spanish ,   Child Car Safety Recruitment Screener for Online Focus Groups and In-Depth Interviews
Qualitative Feedback on Pediatric Vehicular Heatstroke	NHTSA Form 1750, NHTSA Form 1751, NHTSA Form 1752	Child Heatstroke Car Safety – Online Questionnaire ,   Child Heatstroke Car Safety Screening Questionnaire ,   Child Heatstroke Car Safety – Video Questionnaire
Routine Customer Feedback - Drug-Impaired Driving Prevention	NHTSA Form 1700	Online Survey Questionnaire Drug-Impaired Driving Prevention
Routine Customer Feedback for Buzzed Driving PSA Campaign	NHTSA Form 1698	Routine Custo9mer Response Survey (Buzzed Driving)
Rural Alcohol-Impaired Exploratory Research - Focus Groups	NHTSA Form 2037, NHTSA Form 2038, NHTSA Form 2039, NHTSA Form 2039, NHTSA Form 2040	Rural Impaired Exploratory Research English Screener ,   Rural Impaired Exploratory Research Spanish Screener ,   Rural Impaired Exploratory Research Spanish Screener (translated) ,   Rural Impaired Exploratory Discussion Guide (English) ,   Rural Impaired Exploratory Research Discussion Guide (Spanish)
SPEED PREVENTION CREATIVE CONCEPTS RESEARCH ONLINE FOCUS GROUPS	NHTSA Form 2025, NHTSA Form 2024	Speed Prevention Concept Assessment Screener ,   Speed Prevention Concept Assessment Discussion Guide

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	113,582	0	0	0	0	113,582
Annual Time Burden (Hours)	20,204	0	0	0	0	20,204
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $525,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/05/2022

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